(2) Hepatitis Virus (HCV, HDV, HEV, & HGV) Flashcards
Identify the virus
- Major public health problem
- > 4m infected in us
- > 170m people die worldwide
- 12000 patients die annually (us)
HEPATITIS C VIRUS (HCV)
- Leading cause of chronic hepatitis, cirrhosis, and liver cancer.
- Primary indication for liver transplantation in Western countries
Hepatitis C Virus
Hepa C virus are known causative agent of previously known?
Non-A and Non-B Hepatitis
Hepa C Incidence rate after a single unit blood transfucsion
2-4%
Hepa C Virus
Identify the Family, and genus
also give the characteristive of the virus
Family: Flaviviridae
Genus: Hepatitis C Virus
Characteristic: Enveloped, ssRNA virus
How many genotyoes are there in HEPA C?
6 (designated as 1-6)
what is the characteristic of HEPA C Virus why is it allowed to esxape immune response and persist in the host
HIGH MUTATION RATE
Also known as the post-transfusion hepatitis or the non- A and non-B (NANB) hepatitis.
Hepatitis C
main agent of the Hepatitis C ?
Hepatitis C virus malamang
MOT of Hepa C
- Parenteral (Blood Transfusion)
what stages for Hepa c may lead to liver cirrhosis and cancer
Acute and Chronic Stage
Treatment for Hepa C
Interferons and Ribavirin
HCV Risk factors
- Blood transfusion before 1992
o Testing has reduced risk to about 0.001 to 0.01% per
unit of blood transfused. - Organ transplantation before 1992.
- Occupational exposures to contaminated blood.
- Chronic hemodialysis.
- Possibly intranasal cocaine use, body piercing, and tattooing
Enumerate the test for HCV
- Surrogate tests
- Serological Test
- Radioummunoblot Assay
- RT-PCR
identify what test for HCV
- An old test for HCV infection which tests if an individual has both high ALT and a (-) ANTI-HBc indicating non-reactivity to ANTI HBcAg1.
- Non-specific
Surrogate Tests
identify what test for HCV
ELISA and RIA fir ANTI-HCV
Serological test
identify what test for HCV
Specific test fo ANTI-HCV
Radioimmunoblot Assay (RIBA)
identify what test for HCV
In cases of persistent HCV Infection
RT-PCR (for HCV RNA)
Interpretation Pattern of HCV markers
ANTI-HCV: -
RIBA: -
HVC RNA: +
Acute HCV infection
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: +
HVC RNA: +
Active HCV Infection
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: -
HVC RNA: -
Possible HCV Clearance & False positive HCV Test
Interpretation Pattern of HCV markers
ANTI-HCV: +
RIBA: Indeterminate
HVC RNA: -
Requires Further Analysis
HCV markers
TOF
Serological and BIRA are correleted. Therefore, if serolofical test +, BIRA should also test +
F (RIBA)
Identify the virus
- Single-stranded
- Circular RNA
- Surrounded by envelope from HBV and containse HBsAg
Hepatitis D Virus
Initially called delta agent, now hepatitis delta antigen
Hepatitis D Virus
what is the Family of HDV
Deltavirus
first described in italy, 1977
what other hepa virus are associated with HDV???
Associated exclusively with HBV infections, either as a co-infection or as a superinfection.
TOF
HDV replication are complete RNA viruse and can cause infection by itself
FALSE
Replication are defective bcos it is incomplete RNA, unable to cause infection by itselg
TOF
HDV are dependent on HBV for expression and Pathogenicity
T
TOF
Hepa B can cause Hepa D, but not other way around?
True
HBV + Delta Virus =??/
HDV
(this is the only way you can acquire Hepatitis D virus)
NEED NG HBV! kahit may delta pero wlang HBV womp womp will not be a HDV virus
what is the replication mechanism of HDV??
Reverse Transcription (Force the host’s RNA polymerase to transcribe the HDV RNA genome)
where HDV can be commonly seen?
Intravenous drug users and Hemophiliacs
Prevention for HDV
- No vaccine is available.
- The only means of preventing hepatitis D infection is to
prevent HBV infection.
MOT of HDV
Parenteral and Sexual
TOF
HDV signs and symptoms are similar with HAV
F (HBV)
Markers to know if HDV is coinfected or superinfected with HBV
Coinfection: + for both ANTI-HDV and IgM ANTI-HBc
Superinfection= + ANTI-HDV and IgG ANTI-HBc
Lab diagnosis for HDV
- Indirect ELISA
o ANTI-HDV
o ANTI-HBc - PCR
- Clinical findings which are similar with HBV infection.
identify what Virus
Sporadic and epidemic hepatitis in developing countries such as India, Pakistan, Africa, and Mexico
Hepatitis E Virus
Identify what Virus
Clinically resembles HAV infections
Hepatitis E Virus
MOT for HEV
Fecal-Oral Route
Since HEV is like HAV, what infection cannot be seen
No chronic infection
TOF
HEV are associated with hepatocellular carcinoma
F (it should not be assoc)
Give the Family and genus, and characeterisic of HEV
Family: Hepeviridae
Genus: Hepevirus
Characteristic: Nonenveloped, ssRNA
Incubation Period of HEV
3-8 weeks
what is the course of infection of HEV
Acute, Self-limiting Hepatitis - last 1 to 4 weeks
what kind of hepatits are associated with HEV
Fulminant Hepatitis
HEV
rapidly progressing disease and a high mortality rate; occurring more commonly in pregnant women.
Fulminant Hepatitis
Identify what HEPATITIS
- Also known as water-borne hepatitis since the virus is present in contaminated waters.
- Main agent is the hepatitis E virus.
- It causes high mortality rate in pregnant women.
Hepatitis E
TOF
Hepatitis E have immunity mechanism
F (does not have)
Enumerate the Lab diagnosis for HEV
- Electron Microscopy (stool as specimen)
- Indirect ELISA
o ANTI-HEV IgM indicating an acute infection
o ANTI-HEV IgG indicating a past infection - RT-PCR
- Clinical Findings
Identify what Virus
An enveloped, single-stranded RNA virus in the Flaviviridae family.
Hepatitis G Virus
MOT of HGV
- Bloodborne Route
- Perinatal Route
- SEXXX
Detection method for HGV
- RT-PCR
- Serology
what is the characteristic of HEPA G VIRUS that is uncertain in what concept
HGV consiste of group of viruses with UNCERTAIN ASSOCIATION with hepatitis
Discovered during the 1990s
what is the other term of HGV
- GB Virus Type C or GBV-C
- Torquetenovirus (TTV also known as transfusion-transmitted virus)
what are the disease associated with HGV accdin to lecture
- Hepatitis G
- TTV
Identify what HEPATITIS
- Also known as the blood-borne hepatitis, G-B, transfusion transmitted virus (TTV)
- Main agent is the hepatitis G virus (HGV)
Hepatitis G
what are the test for HEPATITIS G
- Qualitative PCR assay for HGV RNA
- No serological test available
A single-stranded non-enveloped DNA virus belonging to the genus Annellovirus.
TTV
what Genus does the TTV belongs to?
Annellovirus
MOT of TTV
- Parenteal
- Fecal-oral
- Respiratory Routes
Detection method of TTV
PCR (mainly for researches)
ENUMERATE the TOTAL HEPATITIS PROFILE
- Anti - HAV IgM
- Anti - HAV IgG
- HBs Ag
- HBe Ag
- Anti-HBc IgM
- Total Anti HBc
- Anti - Hbs
- Anti - HCV
- Anti - HDB
- Anti - GEV IgM
- Anti - HEV IgG
what is the
eme your done congrats
Just study the viral hepa table for better remembrance of the shingalings